Acute Mesenteric Ischemia Secondary to Superior Mesenteric Vein Thrombosis

Zaw, Shin T; Zaw, Thinzar; El-Far, Ahmad

doi:10.7759/cureus.30819

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…Similarly, patients with SVT can present with transient ascites which may get infected as was seen in this case. Therefore, a patient of ET presenting with abdominal pain in setting of ascites should also be evaluated for SBP as it is an uncommon manifestation in EHPVO and might masquerade as other causes of abdominal pain in ET such as splenic infarction and mesenteric ischemia 17,22 …”

Section: Discussionmentioning

confidence: 99%

Spontaneous bacterial peritonitis complicating extensive splanchnic vein thrombosis, a rare manifestation of essential thrombocythemia: A case report

Agrawal,

Rayamajhi,

Rayamajhi

et al. 2023

Clinical Case Reports

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Key Clinical Message Clinicians should be mindful of the rare occurrence of spontaneous bacterial peritonitis in essential thrombocythemia with extensive splanchnic vein thrombosis, especially when patients with ascites exhibit fever and abdominal pain. Abstract Spontaneous bacterial peritonitis (SBP) complicating extensive splanchnic vein thrombosis (SVT) is a rare manifestation of essential thrombocythemia (ET). In the absence of any hypercoagulable state, JAK2 mutation can be an important risk factor for extensive SVT. Evaluation for SBP is crucial when non‐cirrhotic patient exhibits fever, abdominal pain and tenderness in the background of ascites after ruling out common pathologies such as tubercular peritonitis, acute pancreatitis, Budd‐Chiari syndrome and ovarian malignancy. We present a case of SBP complicating pre‐hepatic portal hypertension with ascites in a 44‐years‐old female. On further evaluation, extensive SVT with portal cavernoma in the setting of ET was identified. She was managed with cytoreductive therapy and anticoagulation, resulting in symptom resolution.

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Section: Discussionmentioning

confidence: 99%